EXAM #3: CH. 30 CARE OF THE OLDER
ADULT QUIZ QUESTIONS WITH
CORRECT ANSWERS
The intervention strategy least useful when addressing suicidal ideation in an elderly
client is
A. psychoanalytic psychotherapy.
B. empathetic understanding.
C. crisis intervention techniques.
D. explaining alternative solutions. - Answer-A
Psychotherapeutic approaches need to be simplified and modified for older clients. Of
particular usefulness are applying crisis intervention techniques, providing empathetic
understanding, encouraging ventilation of feelings, re-establishing emotional
equilibrium, explaining alternative solutions, and assisting in the use of problem-solving
approaches.REF: 578-579
A nurse doing a survey about the adequacy of pain management in the elderly will be
most likely to find that the elderly
A. receive less analgesia than younger adults, which makes pain relief inadequate.
B. need smaller doses of pain medication to achieve adequate pain relief.
C. excrete analgesics more rapidly and therefore need more frequent doses.
D. respond better to meperidine than to morphine sulfate when opiates are necessary. -
Answer-A
It is estimated that half of elderly clients with postoperative pain will be undermedicated
and that 80% of elderly clients with cancer will not receive sufficient analgesia.REF:
572; Box 30-3
Ageism is best explained as
A. prominent personality disorganization after the age of 65.
B. learned helplessness among elderly clients.
, C. discrimination against the elderly on the basis of age.
D. behaviors of elderly persons that serve as barriers to health. - Answer-C
Ageism is a destructive phenomenon, based on negative attitudes toward the elderly,
that results in age-related discrimination.REF: 572-573
A usually quiet resident in a long-term care facility has become confused and has
shouted out a number of times during the night. The residents in nearby rooms are
upset by the noise and the interruption to their sleep. The nurse in charge should
A. obtain an order for an as-needed dose of Ativan for the client.
B. give the other residents ear plugs and close their room doors.
C. investigate the reason for the client's behavioral change.
D. place the client in a geriatric chair near the nurse's station. - Answer-C
New-onset confusion and behavior change should not be treated with sedation, but
rather should be investigated for the cause. Finding the cause and addressing it is more
appropriate than using chemical restraint.REF: 568-569
A client with osteoarthritis says she is unable to sleep because of aching in her hips and
shoulders. An appropriate intervention the nurse could expect is administration of a
bedtime dose of
A. aspirin.
B. meperidine.
C. acetaminophen.
D. a sedative-hypnotic. - Answer-C
Acetaminophen is an effective analgesic in the elderly. It does not produce the
gastrointestinal bleeding seen with aspirin and nonsteroidal anti-inflammatory drugs.
Meperidine, an opiate with metabolites that stimulate the central nervous system, may
produce confusion. A sedative-hypnotic may produce daytime sedation or
confusion.REF: 572; Box 30-3
What is the nurse's responsibility, under the Patient Self-Determination Act of 1990,
when a client is admitted to a long-term care facility?
A. Explain advance directives and the agency expectation that the client will formulate
such directives within 24 hours after admission.
ADULT QUIZ QUESTIONS WITH
CORRECT ANSWERS
The intervention strategy least useful when addressing suicidal ideation in an elderly
client is
A. psychoanalytic psychotherapy.
B. empathetic understanding.
C. crisis intervention techniques.
D. explaining alternative solutions. - Answer-A
Psychotherapeutic approaches need to be simplified and modified for older clients. Of
particular usefulness are applying crisis intervention techniques, providing empathetic
understanding, encouraging ventilation of feelings, re-establishing emotional
equilibrium, explaining alternative solutions, and assisting in the use of problem-solving
approaches.REF: 578-579
A nurse doing a survey about the adequacy of pain management in the elderly will be
most likely to find that the elderly
A. receive less analgesia than younger adults, which makes pain relief inadequate.
B. need smaller doses of pain medication to achieve adequate pain relief.
C. excrete analgesics more rapidly and therefore need more frequent doses.
D. respond better to meperidine than to morphine sulfate when opiates are necessary. -
Answer-A
It is estimated that half of elderly clients with postoperative pain will be undermedicated
and that 80% of elderly clients with cancer will not receive sufficient analgesia.REF:
572; Box 30-3
Ageism is best explained as
A. prominent personality disorganization after the age of 65.
B. learned helplessness among elderly clients.
, C. discrimination against the elderly on the basis of age.
D. behaviors of elderly persons that serve as barriers to health. - Answer-C
Ageism is a destructive phenomenon, based on negative attitudes toward the elderly,
that results in age-related discrimination.REF: 572-573
A usually quiet resident in a long-term care facility has become confused and has
shouted out a number of times during the night. The residents in nearby rooms are
upset by the noise and the interruption to their sleep. The nurse in charge should
A. obtain an order for an as-needed dose of Ativan for the client.
B. give the other residents ear plugs and close their room doors.
C. investigate the reason for the client's behavioral change.
D. place the client in a geriatric chair near the nurse's station. - Answer-C
New-onset confusion and behavior change should not be treated with sedation, but
rather should be investigated for the cause. Finding the cause and addressing it is more
appropriate than using chemical restraint.REF: 568-569
A client with osteoarthritis says she is unable to sleep because of aching in her hips and
shoulders. An appropriate intervention the nurse could expect is administration of a
bedtime dose of
A. aspirin.
B. meperidine.
C. acetaminophen.
D. a sedative-hypnotic. - Answer-C
Acetaminophen is an effective analgesic in the elderly. It does not produce the
gastrointestinal bleeding seen with aspirin and nonsteroidal anti-inflammatory drugs.
Meperidine, an opiate with metabolites that stimulate the central nervous system, may
produce confusion. A sedative-hypnotic may produce daytime sedation or
confusion.REF: 572; Box 30-3
What is the nurse's responsibility, under the Patient Self-Determination Act of 1990,
when a client is admitted to a long-term care facility?
A. Explain advance directives and the agency expectation that the client will formulate
such directives within 24 hours after admission.
